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학습 자료 둘러보기 →The immediate priority is to elevate the head of bed to 30 degrees and maintain the neck in a neutral midline position. This uses gravity to maximize cerebral venous outflow without compressing the jugular veins, providing a rapid, low-risk reduction in ICP.
Before administering mannitol, verify the prescription, check IV access, and assess serum osmolality. The non-pharmacological intervention of head elevation should be initiated first while preparing the medication.
Avoid prophylactic hyperventilation to a PaCO2 of 25-30 mmHg. This causes excessive vasoconstriction and risks cerebral ischemia. Reserve it only for acute signs of herniation as a temporary bridge to definitive treatment.
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